Indiana
Professional Licensing Agency
Brandon James Churchman
Controlled Substance Registration-Physician Assistant
License number
10001481B
Date granted
01/25/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 8387932
LAST UPDATED 2024-04-17 20:33:25 UTC
LAST UPDATED 2024-04-17 20:33:25 UTC
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